Study of Roxadustat in Non-Dialysis Chronic Kidney Disease Participants With Anemia

Sponsor
FibroGen (Industry)
Overall Status
Completed
CT.gov ID
NCT01244763
Collaborator
Astellas Pharma Inc (Industry)
145
38
6
19.5
3.8
0.2

Study Details

Study Description

Brief Summary

The primary purpose of this study is to evaluate efficacy and safety of roxadustat in the correction of anemia in participants with non-dialysis chronic kidney disease.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
145 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 2, Randomized, Open-Label, Dose Titration, Efficacy and Safety Study of FG-4592 (Roxadustat) in Non-Dialysis Chronic Kidney Disease Patients With Anemia
Actual Study Start Date :
Oct 29, 2010
Actual Primary Completion Date :
Jun 13, 2012
Actual Study Completion Date :
Jun 13, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort A: Roxadustat Tiered, Weight Based Dosing TIW

Participants will receive roxadustat capsules, administered orally 3 times weekly (TIW) for 16 weeks. Initial roxadustat dose will be based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kilograms (kg)], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants will receive 60, 100, and 140 milligrams [mg] roxadustat, respectively). Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL.

Drug: Roxadustat
Oral capsule
Other Names:
  • FG-4592
  • Experimental: Cohort B: Roxadustat Tiered, Weight Based Dosing TIW then BIW

    Participants will receive roxadustat capsules orally for 16 weeks. Initial roxadustat dose will be based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants will receive 60, 100, and 140 mg roxadustat, respectively). Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants will have a dose frequency reduction from TIW to 2 times a week (BIW) at the time of the initial Hb response.

    Drug: Roxadustat
    Oral capsule
    Other Names:
  • FG-4592
  • Experimental: Cohort C: Roxadustat at 50 mg TIW

    Participants will receive roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL.

    Drug: Roxadustat
    Oral capsule
    Other Names:
  • FG-4592
  • Experimental: Cohort D: Roxadustat at 100 mg TIW

    Participants will receive roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL.

    Drug: Roxadustat
    Oral capsule
    Other Names:
  • FG-4592
  • Experimental: Cohort E: Roxadustat Tiered, Weight Based Dosing BIW then QW

    Participants will receive roxadustat capsules for 24 weeks. Initial roxadustat dose will be based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants will receive 70, 100, and 150 mg roxadustat, respectively). Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants will have a dose frequency reduction from BIW to 1 time a week (QW) at the time of the initial Hb response.

    Drug: Roxadustat
    Oral capsule
    Other Names:
  • FG-4592
  • Experimental: Cohort F: Roxadustat at 70 mg BIW then QW

    Participants will receive roxadustat capsules at 70 mg for 24 weeks. Dose adjustments will be implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants will have a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency will be reduced from BIW to QW.

    Drug: Roxadustat
    Oral capsule
    Other Names:
  • FG-4592
  • Outcome Measures

    Primary Outcome Measures

    1. Number (%) of Participants With an Hb Response by Week 17 [Up to Week 17]

      An Hb response was defined as a Hb level of ≥11 g/dL and an increase from BL ≥1 g/dL.

    Secondary Outcome Measures

    1. Number (%) of Participants With an Hb Response by Weeks 5, 9, 13, 17, 21, and 25 [Up to Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)]

      An Hb response was defined as a Hb level of ≥11 g/dL and an increase from BL ≥1 g/dL.

    2. Change From Baseline in Hb at Weeks 5, 9, 13, 17, 21, and 25 [Baseline, Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)]

      Baseline is defined as the mean of the last 3 available values predose.

    3. Number (%) of Participants With Mean Hb Between 11-12, 11-13, and 10.5-13 g/dL During Weeks 5-8, 9-12, 9-16, 13-16, 17-20, 17-24, 21-24, and 25-28 [Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)]

      Participants can have a Hb value reported for more than 1 of the categories (11-12, 11-13, and 10.5-13 g/dL) during the week intervals since these categories are not mutually exclusive.

    4. Number (%) of Participants With 2 Consecutive Hb Values Between 11-12, 11-13, and 10.5-13 g/dL During Weeks 5-8, 9-12, 13-16, 9-16, 17-20, 17-24, 21-24, and 25-28 [Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)]

    5. Number (%) of Participants Who Achieve Maximum Hb Between 11-12, 11-13, and 10.5-13 g/dL by Weeks 5, 9, 13, 17, 21, and 25 [Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)]

      Participants can have a Hb value for the same category (11-12, 11-13, or 10.5-13 g/dL) reported for multiple weeks.

    6. Number (%) of Participants With Maximum Hb <11, >12, >13, and >14 g/dL During Weeks 5-8, 9-12, 9-16, 13-16, 17-20, 17-24, 21-24, and 25-28 [Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)]

    7. Median Time to Hb Response: Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL [Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C-F)]

      Median time to response was estimated using Kaplan Meier method, Cohort A and B censored at Week 17, Cohort C, D, E, and F censored at Week 25. The median number of days presented was calculated from Baseline to the day the Hb response was achieved.

    8. Median Initial Hb Responsive Time: Time to Initial Hb Increase ≥1.0 g/dL From Baseline [Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C, D, E, and F)]

      Median time to response was estimated using Kaplan Meier method; Cohort A and B censored at Week 17 and Cohort C, D, E, and F censored at Week 25. The median number of days presented was calculated from Baseline to the day the Hb response was achieved.

    9. Median Initial Hb Responsive Dose: Dose at Which Initial Hb Increases to ≥1.0 g/dL From Baseline [Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C-F)]

    10. Change in Hb After Reaching a Hb Response of ≥11.0 g/dL and an Increase in Hb by ≥1.0 g/dL by Week [Cohorts A and B: Weekly through Week 16 (end of treatment), Week 18 (2 weeks posttreatment), and Week 20 (4 weeks posttreatment); Cohorts C-F: Weekly through Week 24 (end of treatment), Week 26 (2 weeks posttreatment), and Week 28 (4 weeks posttreatment)]

    11. Mean Hb Values From Participants Who Reached Hb >11.0 g/dL in the Hb 11-12, 11-13, and 10.5-13 g/dL Categories [Cohorts A and B: Weekly through Week 16 (end of treatment [EoT]) and Week 20 (Follow up [4 weeks posttreatment]); Cohorts C-F: Weekly through Week 24 (EoT) and Week 28 (Follow up [4 weeks posttreatment])]

    12. Mean of Weekly Hb Values <10.5, >13, and >14 g/dL During Weeks 13-17 and 18-25 [Weeks 13-17 (all cohorts) and 18-25 (24-week treatment cohorts only)]

      The mean percentage of the scheduled weekly Hb values that were <10.5, >13, and >14 g/dL during Weeks 13-17 and 18-25 is presented.

    13. Number (%) of Participants Requiring Rescue Therapy [Baseline up to Week 28 (end of study)]

      Rescue treatment included recombinant erythropoiesis-stimulating agent (ESA), red blood cell transfusion (in the absence of a known bleeding episode or surgical blood loss), or intravenous (IV) Iron

    14. Number (%) of Participants Requiring Therapeutic Phlebotomy [Baseline up to Week 28 (end of study)]

    15. Number (%) of Participants Withdrawn From the Study Due to Inadequate Efficacy [Baseline up to Week 28 (end of study)]

    16. Number (%) of Participants With Dose Changes During Weeks 1-4, 5-12, 13-16, and 17-24 [Weeks 1-4, 5-12, and 13-16 (all cohorts) and Weeks 17-24 (24-week treatment cohorts only)]

      Dose changes include dose reductions, dose increases, and dose holds.

    17. Weekly Total Dose and Cumulative Total Dose (mg/kg) When First Achieving Hb Response (Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL) [Cohorts A and B: Weekly through Week 16 (end of treatment); Cohorts C-F: Weekly through Week 24 (end of treatment)]

    18. Mean Weekly Dose After Achieving First Hb Response (Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL) [Cohorts A and B: Weekly through Week 16 (end of treatment); Cohorts C-F: Weekly through Week 24 (end of treatment)]

    19. Change From Baseline in Hb Stratified by Baseline Ferritin >100 Nanograms/Milliliter (ng/mL) and Transferrin Saturation >20% at Week 16 and Week 24 [Baseline, Weeks 16 (Cohorts A and B End of Treatment) and Week 24 (Cohorts C-F End of Treatment)]

      Baseline was defined as the mean of the last 3 available values predose.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 75 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Age 18 to 75 years

    2. Chronic kidney disease, not receiving dialysis

    3. Body weight 45 to 140 kg

    Exclusion Criteria:
    1. Any clinically significant infection or evidence of an underlying infection

    2. Positive for any of the following: human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or anti-hepatitis C virus antibody (anti-HCV Ab)

    3. History of chronic liver disease

    4. New York Heart Association Class III or IV congestive heart failure

    5. Myocardial infarction or acute coronary syndrome within 12 weeks prior to randomization

    6. History of malignancy

    7. Chronic inflammatory disease that could impact erythropoiesis (for example, systemic lupus erythematosis, rheumatoid arthritis, celiac disease) even if it is currently in remission

    8. History of myelodysplastic syndrome, multiple myeloma, or pure red cell aplasia

    9. History of hemosiderosis, hemochromatosis or polycystic kidney disease

    10. Active hemolysis or diagnosis of hemolytic syndrome

    11. Uncontrolled or symptomatic secondary hyperparathyroidism

    12. Seizure disorder or receiving anti-epilepsy medication

    13. Known bone marrow fibrosis

    14. Any prior or scheduled organ transplant

    15. Prior treatment with roxadustat or any hypoxia-inducible factor prolyl hydroxylase inhibitor

    16. History of alcohol or drug abuse

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Mobile Alabama United States
    2 Pine Bluff Arkansas United States
    3 Azusa California United States
    4 Chula Vista California United States
    5 Downey California United States
    6 Northridge California United States
    7 Paramount California United States
    8 Riverside California United States
    9 Whittier California United States
    10 Yuba City California United States
    11 Fort Lauderdale Florida United States
    12 Lauderdale Lakes Florida United States
    13 Pembroke Pines Florida United States
    14 Tampa Florida United States
    15 Augusta Georgia United States
    16 Meridian Idaho United States
    17 Wichita Kansas United States
    18 Baton Rouge Louisiana United States
    19 Shreveport Louisiana United States
    20 Bethesda Maryland United States
    21 Detroit Michigan United States
    22 Lincoln Nebraska United States
    23 Mount Laurel New Jersey United States
    24 Mineola New York United States
    25 New York New York United States
    26 Asheville North Carolina United States
    27 Raleigh North Carolina United States
    28 Canton Ohio United States
    29 Orangeburg South Carolina United States
    30 Knoxville Tennessee United States
    31 Arlington Texas United States
    32 Fort Worth Texas United States
    33 Houston Texas United States
    34 San Antonio Texas United States
    35 Fairfax Virginia United States
    36 Caguas Puerto Rico
    37 Ponce Puerto Rico
    38 San Juan Puerto Rico

    Sponsors and Collaborators

    • FibroGen
    • Astellas Pharma Inc

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    FibroGen
    ClinicalTrials.gov Identifier:
    NCT01244763
    Other Study ID Numbers:
    • FGCL-4592-041
    First Posted:
    Nov 19, 2010
    Last Update Posted:
    Feb 10, 2022
    Last Verified:
    Jan 1, 2022

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally 3 times weekly (TIW) for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kilograms (kg)], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 milligrams [mg] roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to 2 times a week (BIW) at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to 1 time a week (QW) at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Period Title: Overall Study
    STARTED 24 24 24 24 24 25
    Safety Population 24 24 24 24 24 25
    Efficacy Evaluable (EE) Population 23 24 23 24 24 25
    COMPLETED 21 21 22 23 21 21
    NOT COMPLETED 3 3 2 1 3 4

    Baseline Characteristics

    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW Total
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW. Total of all reporting groups
    Overall Participants 24 24 24 24 24 25 145
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    65.9
    (9.3)
    64.3
    (10.3)
    59.2
    (14.7)
    69.8
    (8.0)
    61.8
    (13.2)
    65.2
    (8.6)
    64.4
    (11.3)
    Sex: Female, Male (Count of Participants)
    Female
    19
    79.2%
    17
    70.8%
    16
    66.7%
    11
    45.8%
    16
    66.7%
    13
    52%
    92
    63.4%
    Male
    5
    20.8%
    7
    29.2%
    8
    33.3%
    13
    54.2%
    8
    33.3%
    12
    48%
    53
    36.6%
    Hb (g/dL) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [g/dL]
    9.56
    (0.86)
    9.67
    (0.62)
    9.80
    (0.49)
    9.68
    (0.77)
    9.89
    (0.60)
    9.72
    (0.60)
    9.72
    (0.66)

    Outcome Measures

    1. Primary Outcome
    Title Number (%) of Participants With an Hb Response by Week 17
    Description An Hb response was defined as a Hb level of ≥11 g/dL and an increase from BL ≥1 g/dL.
    Time Frame Up to Week 17

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Count of Participants [Participants]
    19
    79.2%
    24
    100%
    21
    87.5%
    23
    95.8%
    23
    95.8%
    21
    84%
    2. Secondary Outcome
    Title Number (%) of Participants With an Hb Response by Weeks 5, 9, 13, 17, 21, and 25
    Description An Hb response was defined as a Hb level of ≥11 g/dL and an increase from BL ≥1 g/dL.
    Time Frame Up to Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Week 5
    15
    62.5%
    14
    58.3%
    3
    12.5%
    13
    54.2%
    9
    37.5%
    9
    36%
    Week 9
    18
    75%
    21
    87.5%
    12
    50%
    20
    83.3%
    18
    75%
    13
    52%
    Week 13
    18
    75%
    23
    95.8%
    15
    62.5%
    21
    87.5%
    20
    83.3%
    16
    64%
    Week 17
    19
    79.2%
    24
    100%
    17
    70.8%
    22
    91.7%
    23
    95.8%
    20
    80%
    Week 21
    19
    79.2%
    22
    91.7%
    23
    95.8%
    21
    87.5%
    Week 25
    21
    87.5%
    23
    95.8%
    23
    95.8%
    21
    87.5%
    3. Secondary Outcome
    Title Change From Baseline in Hb at Weeks 5, 9, 13, 17, 21, and 25
    Description Baseline is defined as the mean of the last 3 available values predose.
    Time Frame Baseline, Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Baseline
    9.56
    (0.88)
    9.67
    (0.62)
    9.80
    (0.50)
    9.68
    (0.77)
    9.89
    (0.60)
    9.72
    (0.60)
    Change at Week 5
    1.71
    (1.02)
    1.11
    (0.96)
    0.57
    (0.65)
    1.65
    (0.95)
    0.74
    (0.75)
    0.63
    (0.85)
    Change at Week 9
    2.58
    (0.97)
    1.77
    (1.18)
    0.99
    (0.87)
    2.21
    (1.02)
    1.67
    (0.98)
    0.89
    (1.23)
    Change at Week 13
    2.46
    (0.93)
    2.06
    (1.07)
    1.26
    (1.09)
    2.17
    (1.19)
    1.43
    (0.90)
    1.19
    (1.10)
    Change at Week 17
    2.63
    (0.83)
    2.28
    (0.87)
    1.43
    (1.15)
    2.26
    (1.31)
    1.50
    (0.73)
    1.46
    (1.23)
    Change at Week 21
    1.30
    (0.97)
    1.94
    (0.81)
    1.19
    (1.08)
    1.79
    (0.77)
    Change at Week 25
    1.33
    (1.00)
    1.73
    (1.14)
    1.28
    (1.08)
    1.51
    (1.06)
    4. Secondary Outcome
    Title Number (%) of Participants With Mean Hb Between 11-12, 11-13, and 10.5-13 g/dL During Weeks 5-8, 9-12, 9-16, 13-16, 17-20, 17-24, 21-24, and 25-28
    Description Participants can have a Hb value reported for more than 1 of the categories (11-12, 11-13, and 10.5-13 g/dL) during the week intervals since these categories are not mutually exclusive.
    Time Frame Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Weeks 5-8, HB Value of 11-12 g/dL
    4
    16.7%
    11
    45.8%
    7
    29.2%
    8
    33.3%
    10
    41.7%
    7
    28%
    Weeks 5-8, HB Value of 11-13 g/dL
    13
    54.2%
    14
    58.3%
    7
    29.2%
    12
    50%
    13
    54.2%
    8
    32%
    Weeks 5-8, HB Value of 10.5-13 g/dL
    16
    66.7%
    18
    75%
    14
    58.3%
    16
    66.7%
    17
    70.8%
    13
    52%
    Weeks 9-12, HB Value of 11-12 g/dL
    5
    20.8%
    12
    50%
    7
    29.2%
    8
    33.3%
    9
    37.5%
    6
    24%
    Weeks 9-12, HB Value of 11-13 g/dL
    13
    54.2%
    18
    75%
    9
    37.5%
    16
    66.7%
    12
    50%
    10
    40%
    Weeks 9-12, HB Value of 10.5-13 g/dL
    14
    58.3%
    21
    87.5%
    16
    66.7%
    17
    70.8%
    16
    66.7%
    15
    60%
    Weeks 9-16, HB Value of 11-12 g/dL
    6
    25%
    11
    45.8%
    8
    33.3%
    8
    33.3%
    11
    45.8%
    7
    28%
    Weeks 9-16, HB Value of 11-13 g/dL
    12
    50%
    19
    79.2%
    11
    45.8%
    16
    66.7%
    14
    58.3%
    11
    44%
    Weeks 9-16, HB Value of 10.5-13 g/dL
    14
    58.3%
    22
    91.7%
    15
    62.5%
    19
    79.2%
    20
    83.3%
    17
    68%
    Weeks 13-16, HB Value of 11-12 g/dL
    6
    25%
    10
    41.7%
    9
    37.5%
    9
    37.5%
    14
    58.3%
    9
    36%
    Weeks 13-16, HB Value of 11-13 g/dL
    11
    45.8%
    19
    79.2%
    10
    41.7%
    17
    70.8%
    17
    70.8%
    13
    52%
    Weeks 13-16, HB Value of 10.5-13 g/dL
    13
    54.2%
    21
    87.5%
    14
    58.3%
    19
    79.2%
    20
    83.3%
    18
    72%
    Weeks 17-20, HB Value of 11-12 g/dL
    4
    16.7%
    9
    37.5%
    9
    37.5%
    11
    45.8%
    9
    37.5%
    9
    36%
    Weeks 17-20, HB Value of 11-13 g/dL
    10
    41.7%
    18
    75%
    11
    45.8%
    20
    83.3%
    11
    45.8%
    16
    64%
    Weeks 17-20, HB Value of 10.5-13 g/dL
    11
    45.8%
    19
    79.2%
    17
    70.8%
    20
    83.3%
    17
    70.8%
    19
    76%
    Weeks 17-24, HB Value of 11-12 g/dL
    12
    50%
    14
    58.3%
    11
    45.8%
    11
    45.8%
    Weeks 17-24, HB Value of 11-13 g/dL
    13
    54.2%
    20
    83.3%
    12
    50%
    17
    70.8%
    Weeks 17-24, HB Value of 10.5-13 g/dL
    18
    75%
    22
    91.7%
    15
    62.5%
    21
    87.5%
    Weeks 21-24, HB Value of 11-12 g/dL
    11
    45.8%
    13
    54.2%
    7
    29.2%
    14
    58.3%
    Weeks 21-24, HB Value of 11-13 g/dL
    13
    54.2%
    18
    75%
    9
    37.5%
    18
    75%
    Weeks 21-24, HB Value of 10.5-13 g/dL
    19
    79.2%
    21
    87.5%
    13
    54.2%
    20
    83.3%
    Weeks 25-28, HB Value of 11-12 g/dL
    10
    41.7%
    8
    33.3%
    6
    25%
    12
    50%
    Weeks 25-28, HB Value of 11-13 g/dL
    11
    45.8%
    11
    45.8%
    9
    37.5%
    13
    54.2%
    Weeks 25-28, HB Value of 10.5-13 g/dL
    16
    66.7%
    19
    79.2%
    14
    58.3%
    17
    70.8%
    5. Secondary Outcome
    Title Number (%) of Participants With 2 Consecutive Hb Values Between 11-12, 11-13, and 10.5-13 g/dL During Weeks 5-8, 9-12, 13-16, 9-16, 17-20, 17-24, 21-24, and 25-28
    Description
    Time Frame Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Weeks 5-8, Hb Value of 11-12 g/dL
    4
    16.7%
    11
    45.8%
    5
    20.8%
    9
    37.5%
    8
    33.3%
    4
    16%
    Weeks 5-8, Hb Value of 11-13 g/dL
    13
    54.2%
    14
    58.3%
    8
    33.3%
    12
    50%
    12
    50%
    6
    24%
    Weeks 5-8, Hb Value of 10.5-13 g/dL
    15
    62.5%
    17
    70.8%
    14
    58.3%
    16
    66.7%
    16
    66.7%
    13
    52%
    Weeks 9-12, Hb Value of 11-12 g/dL
    5
    20.8%
    12
    50%
    7
    29.2%
    8
    33.3%
    10
    41.7%
    8
    32%
    Weeks 9-12, Hb Value of 11-13 g/dL
    12
    50%
    17
    70.8%
    10
    41.7%
    16
    66.7%
    12
    50%
    11
    44%
    Weeks 9-12, Hb Value of 10.5-13 g/dL
    14
    58.3%
    21
    87.5%
    16
    66.7%
    18
    75%
    17
    70.8%
    15
    60%
    Weeks 9-16, Hb Value of 11-12 g/dL
    8
    33.3%
    16
    66.7%
    10
    41.7%
    10
    41.7%
    15
    62.5%
    11
    44%
    Weeks 9-16, Hb Value of 11-13 g/dL
    14
    58.3%
    22
    91.7%
    13
    54.2%
    20
    83.3%
    18
    75%
    15
    60%
    Weeks 9-16, Hb Value of 10.5-13 g/dL
    16
    66.7%
    23
    95.8%
    19
    79.2%
    20
    83.3%
    22
    91.7%
    18
    72%
    Weeks 13-16, Hb Value of 11-12 g/dL
    7
    29.2%
    11
    45.8%
    9
    37.5%
    7
    29.2%
    13
    54.2%
    7
    28%
    Weeks 13-16, Hb Value of 11-13 g/dL
    12
    50%
    19
    79.2%
    12
    50%
    15
    62.5%
    17
    70.8%
    13
    52%
    Weeks 13-16, Hb Value of 10.5-13 g/dL
    13
    54.2%
    20
    83.3%
    17
    70.8%
    16
    66.7%
    20
    83.3%
    17
    68%
    Weeks 17-20, Hb Value of 11-12 g/dL
    0
    0%
    0
    0%
    10
    41.7%
    10
    41.7%
    9
    37.5%
    8
    32%
    Weeks 17-20, Hb Value of 11-13 g/dL
    0
    0%
    0
    0%
    12
    50%
    19
    79.2%
    12
    50%
    14
    56%
    Weeks 17-20, Hb Value of 10.5-13 g/dL
    0
    0%
    0
    0%
    16
    66.7%
    20
    83.3%
    18
    75%
    20
    80%
    Weeks 17-24, Hb Value of 11-12 g/dL
    14
    58.3%
    17
    70.8%
    14
    58.3%
    17
    70.8%
    Weeks 17-24, Hb Value of 11-13 g/dL
    16
    66.7%
    22
    91.7%
    14
    58.3%
    20
    83.3%
    Weeks 17-24, Hb Value of 10.5-13 g/dL
    20
    83.3%
    22
    91.7%
    18
    75%
    22
    91.7%
    Weeks 21-24, Hb Value of 11-12 g/dL
    12
    50%
    12
    50%
    10
    41.7%
    15
    62.5%
    Weeks 21-24, Hb Value of 11-13 g/dL
    15
    62.5%
    18
    75%
    11
    45.8%
    18
    75%
    Weeks 21-24, Hb Value of 10.5-13 g/dL
    20
    83.3%
    21
    87.5%
    14
    58.3%
    21
    87.5%
    Weeks 25-28, Hb Value of 11-12 g/dL
    5
    20.8%
    9
    37.5%
    4
    16.7%
    8
    33.3%
    Weeks 25-28, Hb Value of 11-13 g/dL
    8
    33.3%
    13
    54.2%
    7
    29.2%
    12
    50%
    Weeks 25-28, Hb Value of 10.5-13 g/dL
    13
    54.2%
    19
    79.2%
    14
    58.3%
    16
    66.7%
    6. Secondary Outcome
    Title Number (%) of Participants Who Achieve Maximum Hb Between 11-12, 11-13, and 10.5-13 g/dL by Weeks 5, 9, 13, 17, 21, and 25
    Description Participants can have a Hb value for the same category (11-12, 11-13, or 10.5-13 g/dL) reported for multiple weeks.
    Time Frame Weeks 5, 9, 13, and 17 (all cohorts) and Weeks 21 and 25 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Hb Value of 11-12 g/dL by Week 5
    9
    37.5%
    11
    45.8%
    5
    20.8%
    8
    33.3%
    11
    45.8%
    10
    40%
    Hb Value of 11-12 g/dL by Week 9
    11
    45.8%
    16
    66.7%
    11
    45.8%
    11
    45.8%
    15
    62.5%
    14
    56%
    Hb Value of 11-12 g/dL by Week 13
    11
    45.8%
    19
    79.2%
    14
    58.3%
    13
    54.2%
    17
    70.8%
    17
    68%
    Hb Value of 11-12 g/dL by Week 17
    12
    50%
    20
    83.3%
    16
    66.7%
    14
    58.3%
    17
    70.8%
    20
    80%
    Hb Value of 11-12 g/dL by Week 21
    17
    70.8%
    15
    62.5%
    19
    79.2%
    22
    91.7%
    Hb Value of 11-12 g/dL by Week 25
    21
    87.5%
    18
    75%
    20
    83.3%
    22
    91.7%
    Hb Value of 11-13 g/dL by Week 5
    16
    66.7%
    14
    58.3%
    6
    25%
    14
    58.3%
    13
    54.2%
    10
    40%
    Hb Value of 11-13 g/dL by Week 9
    18
    75%
    21
    87.5%
    14
    58.3%
    19
    79.2%
    18
    75%
    14
    56%
    Hb Value of 11-13 g/dL by Week 13
    18
    75%
    23
    95.8%
    17
    70.8%
    21
    87.5%
    21
    87.5%
    17
    68%
    Hb Value of 11-13 g/dL by Week 17
    19
    79.2%
    24
    100%
    19
    79.2%
    22
    91.7%
    23
    95.8%
    21
    84%
    Hb Value of 11-13 g/dL by Week 21
    20
    83.3%
    22
    91.7%
    23
    95.8%
    22
    91.7%
    Hb Value of 11-13 g/dL by Week 25
    22
    91.7%
    23
    95.8%
    23
    95.8%
    22
    91.7%
    Hb Value of 10.5-13 g/dL by Week 5
    17
    70.8%
    20
    83.3%
    12
    50%
    17
    70.8%
    17
    70.8%
    14
    56%
    Hb Value of 10.5-13 g/dL by Week 9
    19
    79.2%
    22
    91.7%
    19
    79.2%
    21
    87.5%
    19
    79.2%
    19
    76%
    Hb Value of 10.5-13 g/dL by Week 13
    19
    79.2%
    23
    95.8%
    20
    83.3%
    23
    95.8%
    22
    91.7%
    21
    84%
    Hb Value of 10.5-13 g/dL by Week 17
    20
    83.3%
    24
    100%
    21
    87.5%
    23
    95.8%
    23
    95.8%
    23
    92%
    Hb Value of 10.5-13 g/dL by Week 21
    22
    91.7%
    24
    100%
    23
    95.8%
    23
    95.8%
    Hb Value of 10.5-13 g/dL by Week 25
    23
    95.8%
    24
    100%
    23
    95.8%
    24
    100%
    7. Secondary Outcome
    Title Number (%) of Participants With Maximum Hb <11, >12, >13, and >14 g/dL During Weeks 5-8, 9-12, 9-16, 13-16, 17-20, 17-24, 21-24, and 25-28
    Description
    Time Frame Weeks 5-8, 9-12, 9-16, 13-16, and 17-20 (all cohorts) and Weeks 17-24, 21-24, and 25-28 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Weeks 5-8, Hb Value of <11 g/dL
    6
    25%
    9
    37.5%
    10
    41.7%
    5
    20.8%
    6
    25%
    13
    52%
    Weeks 5-8, Hb Value of 12-13 g/dL
    10
    41.7%
    6
    25%
    4
    16.7%
    6
    25%
    4
    16.7%
    3
    12%
    Weeks 5-8, Hb Value of 13-14 g/dL
    2
    8.3%
    1
    4.2%
    0
    0%
    3
    12.5%
    1
    4.2%
    0
    0%
    Weeks 5-8, Hb Value of >14 g/dL
    1
    4.2%
    0
    0%
    0
    0%
    1
    4.2%
    0
    0%
    0
    0%
    Weeks 9-12, Hb Value of <11 g/dL
    4
    16.7%
    2
    8.3%
    9
    37.5%
    4
    16.7%
    7
    29.2%
    11
    44%
    Weeks 9-12, Hb Value of 12-13 g/dL
    5
    20.8%
    9
    37.5%
    4
    16.7%
    8
    33.3%
    6
    25%
    6
    24%
    Weeks 9-12, Hb Value of 13-14 g/dL
    7
    29.2%
    1
    4.2%
    1
    4.2%
    3
    12.5%
    3
    12.5%
    0
    0%
    Weeks 9-12, Hb Value of >14 g/dL
    2
    8.3%
    1
    4.2%
    0
    0%
    2
    8.3%
    0
    0%
    0
    0%
    Weeks 9-16, Hb Value of <11 g/dL
    4
    16.7%
    1
    4.2%
    7
    29.2%
    1
    4.2%
    2
    8.3%
    7
    28%
    Weeks 9-16, Hb Value of 12-13 g/dL
    4
    16.7%
    10
    41.7%
    5
    20.8%
    8
    33.3%
    9
    37.5%
    8
    32%
    Weeks 9-16, Hb Value of 13-14 g/dL
    7
    29.2%
    4
    16.7%
    2
    8.3%
    6
    25%
    3
    12.5%
    1
    4%
    Weeks 9-16, Hb Value of >14 g/dL
    4
    16.7%
    1
    4.2%
    0
    0%
    3
    12.5%
    0
    0%
    0
    0%
    Weeks 13-16, Hb Value of <11 g/dL
    5
    20.8%
    2
    8.3%
    9
    37.5%
    1
    4.2%
    3
    12.5%
    7
    28%
    Weeks 13-16, Hb Value of 12-13 g/dL
    4
    16.7%
    9
    37.5%
    4
    16.7%
    8
    33.3%
    7
    29.2%
    7
    28%
    Weeks 13-16, Hb Value of 13-14 g/dL
    6
    25%
    4
    16.7%
    2
    8.3%
    7
    29.2%
    3
    12.5%
    1
    4%
    Weeks 13-16, Hb Value of >14 g/dL
    2
    8.3%
    0
    0%
    0
    0%
    1
    4.2%
    0
    0%
    0
    0%
    Weeks 17-20, Hb Value of <11 g/dL
    4
    16.7%
    3
    12.5%
    5
    20.8%
    2
    8.3%
    3
    12.5%
    4
    16%
    Weeks 17-20, Hb Value of 12-13 g/dL
    6
    25%
    9
    37.5%
    4
    16.7%
    10
    41.7%
    5
    20.8%
    5
    20%
    Weeks 17-20, Hb Value of 13-14 g/dL
    6
    25%
    3
    12.5%
    1
    4.2%
    6
    25%
    0
    0%
    2
    8%
    Weeks 17-20, Hb Value of >14 g/dL
    1
    4.2%
    0
    0%
    0
    0%
    0
    0%
    1
    4.2%
    0
    0%
    Weeks 17-24, Hb Value of <11 g/dL
    2
    8.3%
    0
    0%
    3
    12.5%
    3
    12.5%
    Weeks 17-24, Hb Value of 12-13 g/dL
    8
    33.3%
    13
    54.2%
    6
    25%
    7
    29.2%
    Weeks 17-24, Hb Value of 13-14 g/dL
    1
    4.2%
    6
    25%
    0
    0%
    4
    16.7%
    Weeks 17-24, Hb Value of >14 g/dL
    0
    0%
    0
    0%
    1
    4.2%
    0
    0%
    Weeks 21-24, Hb Value of <11 g/dL
    2
    8.3%
    1
    4.2%
    9
    37.5%
    4
    16.7%
    Weeks 21-24, Hb Value of 12-13 g/dL
    6
    25%
    10
    41.7%
    3
    12.5%
    7
    29.2%
    Weeks 21-24, Hb Value of 13-14 g/dL
    1
    4.2%
    1
    4.2%
    1
    4.2%
    3
    12.5%
    Weeks 21-24, Hb Value of >14 g/dL
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Weeks 25-28, Hb Value of <11 g/dL
    7
    29.2%
    6
    25%
    7
    29.2%
    8
    33.3%
    Weeks 25-28, Hb Value of 12-13 g/dL
    4
    16.7%
    4
    16.7%
    4
    16.7%
    3
    12.5%
    Weeks 25-28, Hb Value of 13-14 g/dL
    0
    0%
    1
    4.2%
    0
    0%
    1
    4.2%
    Weeks 25-28, Hb Value of >14 g/dL
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    8. Secondary Outcome
    Title Median Time to Hb Response: Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL
    Description Median time to response was estimated using Kaplan Meier method, Cohort A and B censored at Week 17, Cohort C, D, E, and F censored at Week 25. The median number of days presented was calculated from Baseline to the day the Hb response was achieved.
    Time Frame Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C-F)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Median (Full Range) [days]
    28.0
    28.0
    48.9
    28.0
    35.0
    56.0
    9. Secondary Outcome
    Title Median Initial Hb Responsive Time: Time to Initial Hb Increase ≥1.0 g/dL From Baseline
    Description Median time to response was estimated using Kaplan Meier method; Cohort A and B censored at Week 17 and Cohort C, D, E, and F censored at Week 25. The median number of days presented was calculated from Baseline to the day the Hb response was achieved.
    Time Frame Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C, D, E, and F)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Median (Full Range) [days]
    21.0
    21.6
    42.0
    21.0
    35.0
    42.0
    10. Secondary Outcome
    Title Median Initial Hb Responsive Dose: Dose at Which Initial Hb Increases to ≥1.0 g/dL From Baseline
    Description
    Time Frame Up to Week 17 (Cohorts A and B) and up to Week 25 (Cohorts C-F)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 23 24 23 24 24 25
    Median (Full Range) [mg/kg/week]
    2.30
    2.50
    2.32
    2.36
    1.96
    1.61
    11. Secondary Outcome
    Title Change in Hb After Reaching a Hb Response of ≥11.0 g/dL and an Increase in Hb by ≥1.0 g/dL by Week
    Description
    Time Frame Cohorts A and B: Weekly through Week 16 (end of treatment), Week 18 (2 weeks posttreatment), and Week 20 (4 weeks posttreatment); Cohorts C-F: Weekly through Week 24 (end of treatment), Week 26 (2 weeks posttreatment), and Week 28 (4 weeks posttreatment)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 19 24 21 23 23 21
    Hb at Response Timepoint
    11.49
    (0.414)
    11.40
    (0.289)
    11.32
    (0.360)
    11.47
    (0.430)
    11.62
    (0.543)
    11.43
    (0.348)
    Change after 1 week
    0.30
    (0.579)
    0.03
    (0.562)
    -0.18
    (0.854)
    0.18
    (0.570)
    -0.26
    (0.709)
    -0.23
    (0.394)
    Change after 2 weeks
    0.46
    (0.685)
    0.05
    (0.634)
    -0.22
    (0.868)
    0.41
    (0.678)
    -0.34
    (0.720)
    -0.21
    (0.707)
    Change after 3 weeks
    0.67
    (0.635)
    0.19
    (0.720)
    -0.02
    (0.842)
    0.44
    (0.873)
    -0.31
    (0.934)
    -0.25
    (0.682)
    Change after 4 weeks
    0.81
    (0.642)
    0.17
    (0.968)
    0.06
    (0.767)
    0.61
    (0.859)
    -0.18
    (1.080)
    -0.24
    (0.794)
    Change after 5 weeks
    0.99
    (0.705)
    0.20
    (1.004)
    -0.07
    (0.701)
    0.65
    (0.883)
    -0.05
    (1.295)
    0.13
    (0.752)
    Change after 6 weeks
    1.01
    (0.999)
    0.23
    (0.931)
    0.02
    (0.821)
    0.67
    (0.799)
    0.10
    (1.274)
    -0.01
    (0.937)
    Change after 7 weeks
    0.97
    (0.874)
    0.21
    (0.860)
    0.40
    (0.876)
    0.87
    (0.882)
    -0.21
    (1.255)
    0.03
    (0.830)
    Change after 8 weeks
    1.05
    (0.852)
    0.45
    (0.827)
    0.18
    (0.820)
    0.78
    (0.820)
    -0.15
    (1.238)
    -0.03
    (1.005)
    Change after 9 weeks
    0.88
    (0.904)
    0.59
    (0.898)
    0.22
    (1.131)
    0.79
    (0.960)
    -0.43
    (1.075)
    -0.03
    (0.944)
    Change after 10 weeks
    0.88
    (1.044)
    0.68
    (0.787)
    0.44
    (1.109)
    1.01
    (0.629)
    -0.22
    (1.226)
    0.26
    (1.018)
    Change after 11 weeks
    0.89
    (1.088)
    0.59
    (0.644)
    0.39
    (0.972)
    0.82
    (0.678)
    -0.42
    (0.966)
    0.09
    (0.974)
    Change after 12 weeks
    0.91
    (1.007)
    0.69
    (0.474)
    0.25
    (0.966)
    0.60
    (0.745)
    -0.38
    (0.818)
    0.21
    (0.774)
    Change after 13 weeks
    1.53
    (0.962)
    0.90
    (0.837)
    0.13
    (1.010)
    0.45
    (0.808)
    -0.58
    (0.946)
    0.33
    (0.880)
    Change after 14 weeks
    2.16
    (0.385)
    0.94
    (0.976)
    0.18
    (0.913)
    0.37
    (0.874)
    -0.65
    (1.079)
    0.41
    (0.778)
    Change after 15 weeks
    1.20
    (NA)
    1.50
    (NA)
    0.13
    (0.751)
    0.32
    (0.815)
    -0.67
    (1.191)
    0.18
    (0.636)
    Change after 16 weeks
    0.08
    (0.851)
    0.21
    (0.808)
    -0.68
    (1.262)
    0.41
    (0.524)
    Change after 17 weeks
    0.12
    (0.529)
    0.18
    (0.718)
    -0.52
    (0.984)
    0.47
    (0.751)
    Change after 18 weeks
    -0.06
    (0.704)
    0.39
    (0.763)
    -0.44
    (0.699)
    0.27
    (0.405)
    Change after 19 weeks
    -0.20
    (0.807)
    0.33
    (0.855)
    -0.31
    (0.888)
    0.26
    (0.821)
    Change after 20 weeks
    -0.50
    (0.283)
    -0.12
    (1.035)
    -0.43
    (1.275)
    0.51
    (0.839)
    Change after 21 weeks
    0.20
    (NA)
    -0.49
    (1.146)
    -0.40
    (0.849)
    0.37
    (0.737)
    Change after 22 weeks
    0.90
    (NA)
    -1.05
    (0.480)
    -0.33
    (0.839)
    0.15
    (0.354)
    Change after 23 weeks
    -1.10
    (NA)
    -0.90
    (NA)
    Change after 2 weeks posttreatment
    0.49
    (1.113)
    0.21
    (0.985)
    -0.28
    (0.614)
    -0.25
    (0.924)
    -0.61
    (1.023)
    -0.34
    (0.562)
    Change after 4 weeks posttreatment
    0.21
    (1.289)
    -0.28
    (0.902)
    -0.62
    (0.846)
    -0.80
    (0.708)
    -0.99
    (1.296)
    -0.79
    (0.777)
    12. Secondary Outcome
    Title Mean Hb Values From Participants Who Reached Hb >11.0 g/dL in the Hb 11-12, 11-13, and 10.5-13 g/dL Categories
    Description
    Time Frame Cohorts A and B: Weekly through Week 16 (end of treatment [EoT]) and Week 20 (Follow up [4 weeks posttreatment]); Cohorts C-F: Weekly through Week 24 (EoT) and Week 28 (Follow up [4 weeks posttreatment])

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 19 23 22 23 23 22
    After Response through EoT, Hb Category <11 g/dL
    11.50
    (25.937)
    18.75
    (27.254)
    35.48
    (32.727)
    14.03
    (18.311)
    38.32
    (30.175)
    32.56
    (33.384)
    After Response through EoT, Hb Category 11-12 g/dL
    31.46
    (30.410)
    48.86
    (26.771)
    46.67
    (29.540)
    41.54
    (26.619)
    44.17
    (22.858)
    47.00
    (27.692)
    After Response through EoT, Hb Category 11-13 g/dL
    66.73
    (27.453)
    76.05
    (26.577)
    62.10
    (31.528)
    74.96
    (24.078)
    56.92
    (27.338)
    64.39
    (32.083)
    After Response through EoT, Hb Category 10.5-13 g/dL
    76.80
    (23.899)
    87.20
    (20.118)
    82.69
    (25.854)
    83.50
    (21.354)
    79.01
    (23.045)
    83.97
    (26.219)
    In Follow Up, Hb Category <11 g/dL
    16.67
    (34.300)
    35.71
    (42.258)
    54.76
    (41.547)
    47.83
    (43.896)
    57.50
    (43.755)
    50.00
    (44.096)
    In Follow Up, Hb Category 11-12 g/dL
    30.56
    (38.877)
    40.48
    (40.679)
    40.48
    (40.679)
    41.30
    (38.883)
    30.00
    (37.697)
    47.37
    (42.406)
    In Follow Up, Hb Category 11-13 g/dL
    69.44
    (42.492)
    59.52
    (40.679)
    45.24
    (41.547)
    52.17
    (43.896)
    42.50
    (43.755)
    50.00
    (44.096)
    In Follow Up, Hb Category 10.5-13 g/dL
    75.00
    (39.295)
    83.33
    (32.914)
    66.67
    (36.515)
    71.74
    (39.388)
    65.00
    (43.225)
    73.68
    (34.835)
    13. Secondary Outcome
    Title Mean of Weekly Hb Values <10.5, >13, and >14 g/dL During Weeks 13-17 and 18-25
    Description The mean percentage of the scheduled weekly Hb values that were <10.5, >13, and >14 g/dL during Weeks 13-17 and 18-25 is presented.
    Time Frame Weeks 13-17 (all cohorts) and 18-25 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable at the specified timepoint. LOCF method was used to impute missing values.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 22 24 23 23 22 24
    Weeks 13-17, Hb <10.5 g/dL
    15.23
    (33.893)
    7.92
    (20.212)
    25.65
    (36.752)
    9.78
    (24.885)
    9.17
    (19.174)
    22.75
    (35.995)
    Weeks 13-17, Hb >13 g/dL
    25.00
    (37.257)
    7.50
    (17.508)
    4.35
    (14.717)
    18.26
    (31.283)
    2.95
    (7.662)
    0.87
    (4.170)
    Weeks 13-17, Hb >14 g/dL
    2.73
    (9.351)
    0
    (0)
    0
    (0)
    0.87
    (4.170)
    0
    (0)
    0
    (0)
    Weeks 18-25, Hb <10.5 g/dL
    21.97
    (31.809)
    9.38
    (22.797)
    23.86
    (33.830)
    16.84
    (31.625)
    Weeks 18-25, Hb >13 g/dL
    2.17
    (10.426)
    5.00
    (16.219)
    3.41
    (15.990)
    3.13
    (7.599)
    Weeks 18-25, Hb >14 g/dL
    0
    (0)
    0
    (0)
    0.57
    (2.665)
    0
    (0)
    14. Secondary Outcome
    Title Number (%) of Participants Requiring Rescue Therapy
    Description Rescue treatment included recombinant erythropoiesis-stimulating agent (ESA), red blood cell transfusion (in the absence of a known bleeding episode or surgical blood loss), or intravenous (IV) Iron
    Time Frame Baseline up to Week 28 (end of study)

    Outcome Measure Data

    Analysis Population Description
    Safety Population included all participants who received any dose of study drug.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 24 24 24 24 24 25
    Blood Transfusion
    0
    0%
    2
    8.3%
    0
    0%
    1
    4.2%
    2
    8.3%
    0
    0%
    ESA
    0
    0%
    1
    4.2%
    0
    0%
    0
    0%
    1
    4.2%
    2
    8%
    IV Iron
    0
    0%
    1
    4.2%
    0
    0%
    1
    4.2%
    2
    8.3%
    2
    8%
    15. Secondary Outcome
    Title Number (%) of Participants Requiring Therapeutic Phlebotomy
    Description
    Time Frame Baseline up to Week 28 (end of study)

    Outcome Measure Data

    Analysis Population Description
    Safety Population included all participants who received any dose of study drug.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 24 24 24 24 24 25
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    16. Secondary Outcome
    Title Number (%) of Participants Withdrawn From the Study Due to Inadequate Efficacy
    Description
    Time Frame Baseline up to Week 28 (end of study)

    Outcome Measure Data

    Analysis Population Description
    Safety Population included all participants who received any dose of study drug.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 24 24 24 24 24 25
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    17. Secondary Outcome
    Title Number (%) of Participants With Dose Changes During Weeks 1-4, 5-12, 13-16, and 17-24
    Description Dose changes include dose reductions, dose increases, and dose holds.
    Time Frame Weeks 1-4, 5-12, and 13-16 (all cohorts) and Weeks 17-24 (24-week treatment cohorts only)

    Outcome Measure Data

    Analysis Population Description
    Safety Population included all participants who received any dose of study drug. Here, 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 24 24 24 24 24 25
    Dose reduced, Weeks 1-4
    5
    20.8%
    1
    4.2%
    0
    0%
    2
    8.3%
    1
    4.2%
    0
    0%
    Dose reduced, Weeks 5-12
    13
    54.2%
    4
    16.7%
    2
    8.3%
    7
    29.2%
    3
    12.5%
    5
    20%
    Dose reduced, Weeks 13-16
    0
    0%
    7
    29.2%
    4
    16.7%
    3
    12.5%
    1
    4.2%
    0
    0%
    Dose reduced, Weeks 17-24
    2
    8.3%
    3
    12.5%
    1
    4.2%
    2
    8.3%
    Dose increased, Weeks 1-4
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Dose increased, Weeks 5-12
    10
    41.7%
    11
    45.8%
    14
    58.3%
    9
    37.5%
    9
    37.5%
    15
    60%
    Dose increased, Weeks 13-16
    4
    16.7%
    4
    16.7%
    2
    8.3%
    1
    4.2%
    3
    12.5%
    4
    16%
    Dose increased, Weeks 17-24
    2
    8.3%
    3
    12.5%
    5
    20.8%
    0
    0%
    Dose held, Weeks 1-4
    2
    8.3%
    4
    16.7%
    0
    0%
    2
    8.3%
    3
    12.5%
    3
    12%
    Dose held, Weeks 5-12
    5
    20.8%
    2
    8.3%
    2
    8.3%
    4
    16.7%
    3
    12.5%
    4
    16%
    Dose held, Weeks 13-16
    1
    4.2%
    1
    4.2%
    0
    0%
    1
    4.2%
    2
    8.3%
    0
    0%
    Dose held, Weeks 17-24
    1
    4.2%
    1
    4.2%
    3
    12.5%
    0
    0%
    18. Secondary Outcome
    Title Weekly Total Dose and Cumulative Total Dose (mg/kg) When First Achieving Hb Response (Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL)
    Description
    Time Frame Cohorts A and B: Weekly through Week 16 (end of treatment); Cohorts C-F: Weekly through Week 24 (end of treatment)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 19 24 21 23 23 21
    Weekly Dose
    4.08
    (0.952)
    4.13
    (0.944)
    2.88
    (1.721)
    4.17
    (1.119)
    2.65
    (0.886)
    3.02
    (0.876)
    Cumulative Dose
    16.86
    (17.097)
    20.05
    (15.994)
    24.41
    (23.838)
    21.21
    (18.229)
    16.57
    (12.154)
    22.16
    (17.612)
    19. Secondary Outcome
    Title Mean Weekly Dose After Achieving First Hb Response (Hb Increase ≥1 g/dL From Baseline and Hb ≥11 g/dL)
    Description
    Time Frame Cohorts A and B: Weekly through Week 16 (end of treatment); Cohorts C-F: Weekly through Week 24 (end of treatment)

    Outcome Measure Data

    Analysis Population Description
    Safety Population included all participants who received any dose of study drug. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable at the specified timepoint.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 18 23 20 23 22 20
    1 week after response
    2.99
    (1.16)
    3.05
    (1.13)
    2.73
    (1.56)
    3.87
    (1.28)
    2.09
    (0.89)
    2.59
    (0.90)
    2 weeks after response
    2.64
    (1.14)
    2.86
    (1.13)
    2.63
    (1.39)
    3.85
    (1.08)
    1.97
    (0.92)
    2.50
    (1.02)
    3 weeks after response
    2.50
    (0.84)
    2.86
    (1.06)
    2.63
    (1.39)
    3.53
    (1.13)
    1.92
    (0.87)
    2.47
    (0.99)
    4 weeks after response
    2.18
    (0.82)
    2.82
    (0.91)
    2.44
    (1.13)
    3.81
    (1.36)
    1.96
    (0.95)
    2.62
    (1.14)
    5 weeks after response
    2.32
    (0.75)
    2.73
    (0.86)
    2.54
    (1.52)
    3.61
    (1.49)
    1.97
    (0.96)
    2.57
    (1.05)
    6 weeks after response
    2.09
    (0.82)
    2.75
    (0.87)
    2.57
    (1.47)
    3.48
    (1.30)
    1.99
    (0.98)
    2.53
    (1.16)
    7 weeks after response
    2.03
    (0.69)
    2.76
    (0.90)
    2.65
    (1.51)
    3.31
    (1.29)
    1.99
    (1.00)
    2.33
    (0.94)
    8 weeks after response
    2.01
    (0.78)
    2.84
    (0.96)
    2.60
    (1.54)
    3.21
    (1.33)
    2.07
    (1.07)
    2.14
    (0.80)
    9 weeks after response
    2.01
    (0.88)
    2.71
    (1.08)
    2.35
    (1.22)
    3.16
    (1.43)
    2.15
    (1.08)
    2.23
    (0.86)
    10 weeks after response
    2.15
    (0.79)
    2.59
    (1.00)
    2.18
    (1.29)
    2.96
    (1.36)
    2.13
    (1.09)
    2.16
    (0.89)
    11 weeks after response
    2.13
    (0.85)
    2.72
    (1.16)
    2.18
    (1.29)
    2.77
    (1.30)
    2.02
    (0.89)
    2.14
    (0.93)
    12 weeks after response
    2.07
    (0.75)
    2.81
    (0.97)
    2.19
    (1.34)
    2.65
    (1.40)
    1.89
    (0.93)
    1.87
    (0.82)
    13 weeks after response
    1.72
    (0.85)
    2.70
    (0.43)
    2.19
    (1.34)
    2.65
    (1.42)
    1.70
    (0.58)
    1.95
    (0.83)
    14 weeks after response
    2.87
    (NA)
    2.04
    (1.42)
    2.69
    (1.52)
    1.71
    (0.54)
    1.83
    (0.87)
    15 weeks after response
    2.04
    (1.44)
    2.68
    (1.51)
    1.70
    (0.56)
    1.85
    (0.91)
    16 weeks after response
    2.04
    (1.44)
    2.72
    (1.62)
    1.66
    (0.53)
    1.76
    (0.72)
    17 weeks after response
    2.13
    (1.46)
    2.51
    (1.67)
    1.66
    (0.50)
    1.82
    (0.89)
    18 weeks after response
    1.53
    (0.66)
    2.43
    (1.79)
    1.57
    (0.50)
    1.83
    (0.94)
    19 weeks after response
    1.25
    (0.39)
    2.51
    (1.94)
    1.63
    (0.58)
    1.89
    (0.98)
    20 weeks after response
    1.82
    (1.29)
    1.49
    (0.70)
    1.36
    (0.40)
    21 weeks after response
    1.65
    (NA)
    1.13
    (0.42)
    1.36
    (0.80)
    1.28
    (0.24)
    22 weeks after response
    0.85
    (NA)
    2.04
    (NA)
    20. Secondary Outcome
    Title Change From Baseline in Hb Stratified by Baseline Ferritin >100 Nanograms/Milliliter (ng/mL) and Transferrin Saturation >20% at Week 16 and Week 24
    Description Baseline was defined as the mean of the last 3 available values predose.
    Time Frame Baseline, Weeks 16 (Cohorts A and B End of Treatment) and Week 24 (Cohorts C-F End of Treatment)

    Outcome Measure Data

    Analysis Population Description
    EE Population included all participants who received at least 2 weeks of study drug with a Hb BL and a valid post-BL value at 2 weeks into study. Here, 'Overall number of participants analyzed' signifies participants evaluable for this outcome measure and 'Number Analyzed' signifies participants evaluable at the specified timepoint. Last-observation-carried-forward (LOCF) method was used to impute missing values.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    Measure Participants 17 11 10 14 9 13
    Baseline
    9.62
    (0.92)
    9.56
    (0.43)
    9.68
    (0.41)
    9.58
    (0.86)
    9.96
    (0.51)
    9.75
    (0.63)
    Change at Week 16
    2.42
    (1.12)
    2.32
    (1.00)
    1.85
    (1.34)
    2.21
    (1.42)
    1.37
    (0.68)
    1.42
    (1.01)
    Change at Week 24
    1.66
    (0.45)
    1.75
    (1.14)
    1.09
    (0.82)
    1.53
    (0.88)

    Adverse Events

    Time Frame Baseline up to Week 28 (end of study)
    Adverse Event Reporting Description Safety Population included all participants who received any dose of study drug.
    Arm/Group Title Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Arm/Group Description Participants received roxadustat capsules, administered orally TIW for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants received roxadustat capsules orally for 16 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 60, 100, and 140 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Participants received roxadustat capsules at 50 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules at 100 mg, administered orally TIW for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.2 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 10.5-12 g/dL. Participants received roxadustat capsules for 24 weeks. Initial roxadustat dose was based on a tiered, weight-based dosing scheme (low-weight [45 to 60 kg], medium-weight [>60 to 90 kg], and heavy-weight [>90 to 140 kg] participants received 70, 100, and 150 mg roxadustat, respectively). Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from BIW to QW at the time of the initial Hb response. Participants received roxadustat capsules at 70 mg for 24 weeks. Dose adjustments were implemented (up to a maximum roxadustat dose of 2.5 mg/kg per dose) every 4 weeks starting Week 5 to maintain Hb levels at 11-13 g/dL. Participants had a dose frequency reduction from TIW to BIW at the time of the initial Hb response. Then after >8 weeks of stable Hb, dose frequency was reduced from BIW to QW.
    All Cause Mortality
    Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/24 (12.5%) 4/24 (16.7%) 4/24 (16.7%) 4/24 (16.7%) 10/24 (41.7%) 10/25 (40%)
    Cardiac disorders
    Cardiac Failure Congestive 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 3/25 (12%)
    Cardio-Respiratory Arrest 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Acute Myocardial Infarction 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Atrial Fibrillation 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Myocardial Infarction 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Ear and labyrinth disorders
    Vertigo 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Gastrointestinal disorders
    Pancreatitis 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%) 0/25 (0%)
    Abdominal Pain Lower 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Diabetic Gastroparesis 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Haematemesis 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Pancreatitis Acute 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    General disorders
    Death 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Hepatobiliary disorders
    Cholecystitis 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Infections and infestations
    Cellulitis 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 2/25 (8%)
    Abscess 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Bronchopneumonia 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Pneumonia 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Injury, poisoning and procedural complications
    Contusion 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Foreign Body 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Spinal Fracture 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/25 (0%)
    Toxicity To Various Agents 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Metabolism and nutrition disorders
    Hyponatraemia 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 1/25 (4%)
    Diabetic Ketoacidosis 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 1/25 (4%)
    Hyperglycaemic Hyperosmolar Nonketotic Syndrome 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Musculoskeletal and connective tissue disorders
    Muscular Weakness 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Colon Cancer 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Nervous system disorders
    Brain Stem Infarction 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/25 (0%)
    Cerebellar Infarction 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Subarachnoid Haemorrhage 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Syncope 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Renal and urinary disorders
    Renal Failure Acute 0/24 (0%) 1/24 (4.2%) 1/24 (4.2%) 0/24 (0%) 1/24 (4.2%) 1/25 (4%)
    Renal Failure Chronic 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/24 (0%) 1/25 (4%)
    Renal Impairment 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Respiratory, thoracic and mediastinal disorders
    Acute Respiratory Failure 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Dyspnoea 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Epistaxis 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Pulmonary Embolism 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Pulmonary Oedema 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/25 (4%)
    Respiratory Failure 1/24 (4.2%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/25 (0%)
    Vascular disorders
    Hypotension 0/24 (0%) 0/24 (0%) 0/24 (0%) 0/24 (0%) 1/24 (4.2%) 0/25 (0%)
    Other (Not Including Serious) Adverse Events
    Cohort A: Roxadustat Tiered, Weight Based Dosing TIW Cohort B: Roxadustat Tiered, Weight Based Dosing TIW Then BIW Cohort C: Roxadustat at 50 mg TIW Cohort D: Roxadustat at 100 mg TIW Cohort E: Roxadustat Tiered, Weight Based Dosing BIW Then QW Cohort F: Roxadustat at 70 mg BIW Then QW
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 15/24 (62.5%) 15/24 (62.5%) 10/24 (41.7%) 10/24 (41.7%) 11/24 (45.8%) 10/25 (40%)
    Gastrointestinal disorders
    Nausea 4/24 (16.7%) 1/24 (4.2%) 1/24 (4.2%) 3/24 (12.5%) 5/24 (20.8%) 0/25 (0%)
    Diarrhoea 3/24 (12.5%) 4/24 (16.7%) 2/24 (8.3%) 2/24 (8.3%) 0/24 (0%) 1/25 (4%)
    Constipation 2/24 (8.3%) 2/24 (8.3%) 1/24 (4.2%) 0/24 (0%) 3/24 (12.5%) 1/25 (4%)
    Vomiting 3/24 (12.5%) 1/24 (4.2%) 0/24 (0%) 2/24 (8.3%) 2/24 (8.3%) 0/25 (0%)
    General disorders
    Oedema Peripheral 1/24 (4.2%) 5/24 (20.8%) 4/24 (16.7%) 2/24 (8.3%) 2/24 (8.3%) 4/25 (16%)
    Infections and infestations
    Urinary Tract Infection 0/24 (0%) 4/24 (16.7%) 2/24 (8.3%) 1/24 (4.2%) 4/24 (16.7%) 3/25 (12%)
    Nasopharyngitis 2/24 (8.3%) 2/24 (8.3%) 2/24 (8.3%) 2/24 (8.3%) 3/24 (12.5%) 2/25 (8%)
    Sinusitis 2/24 (8.3%) 3/24 (12.5%) 2/24 (8.3%) 1/24 (4.2%) 0/24 (0%) 0/25 (0%)
    Nervous system disorders
    Dizziness 2/24 (8.3%) 1/24 (4.2%) 3/24 (12.5%) 1/24 (4.2%) 2/24 (8.3%) 0/25 (0%)
    Headache 3/24 (12.5%) 1/24 (4.2%) 1/24 (4.2%) 2/24 (8.3%) 0/24 (0%) 1/25 (4%)
    Vascular disorders
    Hypertension 4/24 (16.7%) 1/24 (4.2%) 1/24 (4.2%) 2/24 (8.3%) 2/24 (8.3%) 1/25 (4%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Results Point of Contact

    Name/Title Clinical Trial Information Desk
    Organization FibroGen, Inc.
    Phone 415-978-1441
    Email
    Responsible Party:
    FibroGen
    ClinicalTrials.gov Identifier:
    NCT01244763
    Other Study ID Numbers:
    • FGCL-4592-041
    First Posted:
    Nov 19, 2010
    Last Update Posted:
    Feb 10, 2022
    Last Verified:
    Jan 1, 2022